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This is VAERS ID 630349

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History of Changes from the VAERS Wayback Machine

First Appeared on 5/14/2016

VAERS ID: 630349
VAERS Form:
Age:18.0
Sex:Female
Location:Pennsylvania
Vaccinated:2016-03-31
Onset:2016-03-31
Submitted:2016-04-01
Entered:2016-04-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS 149001 / 0 LA / IM

Administered by: Private      Purchased by: Public
Symptoms: Hyperhidrosis, Injection site pain, Nausea, Pyrexia, Swelling, Injection site hypoaesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: FLOVENT; Fluoxetine; Hydroxyzine; Hydrocodone/APAP
Current Illness: 18 yr check up yearly
Preexisting Conditions: ADHD; Mood disorder
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Increasing pain at injection site beginning 4 hours after injection. Pt then developed swelling, nausea, diaphoresis, fever to 102 degrees F, and transient numbness at injection site.


Changed on 9/14/2017

VAERS ID: 630349 Before After
VAERS Form:(blank) 1
Age:18.0
Sex:Female
Location:Pennsylvania
Vaccinated:2016-03-31
Onset:2016-03-31
Submitted:2016-04-01
Entered:2016-04-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS 149001 / 0 1 LA / IM

Administered by: Private      Purchased by: Public
Symptoms: Hyperhidrosis, Injection site pain, Nausea, Pyrexia, Swelling, Injection site hypoaesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: FLOVENT; Fluoxetine; Hydroxyzine; Hydrocodone/APAP
Current Illness: 18 yr check up yearly
Preexisting Conditions: ADHD; Mood disorder
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Increasing pain at injection site beginning 4 hours after injection. Pt then developed swelling, nausea, diaphoresis, fever to 102 degrees F, and transient numbness at injection site.


Changed on 2/14/2018

VAERS ID: 630349 Before After
VAERS Form:1
Age:18.0
Sex:Female
Location:Pennsylvania
Vaccinated:2016-03-31
Onset:2016-03-31
Submitted:2016-04-01
Entered:2016-04-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS 149001 / 1 LA / IM

Administered by: Private      Purchased by: Public
Symptoms: Hyperhidrosis, Injection site pain, Nausea, Pyrexia, Swelling, Injection site hypoaesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: FLOVENT; Fluoxetine; Hydroxyzine; Hydrocodone/APAP
Current Illness: 18 yr check up yearly
Preexisting Conditions: ADHD; Mood disorder
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Increasing pain at injection site beginning 4 hours after injection. Pt then developed swelling, nausea, diaphoresis, fever to 102 degrees F, and transient numbness at injection site.


Changed on 6/14/2018

VAERS ID: 630349 Before After
VAERS Form:1
Age:18.0
Sex:Female
Location:Pennsylvania
Vaccinated:2016-03-31
Onset:2016-03-31
Submitted:2016-04-01
Entered:2016-04-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS 149001 / 1 LA / IM

Administered by: Private      Purchased by: Public
Symptoms: Hyperhidrosis, Injection site pain, Nausea, Pyrexia, Swelling, Injection site hypoaesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: FLOVENT; Fluoxetine; Hydroxyzine; Hydrocodone/APAP
Current Illness: 18 yr check up yearly
Preexisting Conditions: ADHD; Mood disorder
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Increasing pain at injection site beginning 4 hours after injection. Pt then developed swelling, nausea, diaphoresis, fever to 102 degrees F, and transient numbness at injection site.


Changed on 8/14/2018

VAERS ID: 630349 Before After
VAERS Form:1
Age:18.0
Sex:Female
Location:Pennsylvania
Vaccinated:2016-03-31
Onset:2016-03-31
Submitted:2016-04-01
Entered:2016-04-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS 149001 / 1 LA / IM

Administered by: Private      Purchased by: Public
Symptoms: Hyperhidrosis, Injection site pain, Nausea, Pyrexia, Swelling, Injection site hypoaesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: FLOVENT; Fluoxetine; Hydroxyzine; Hydrocodone/APAP
Current Illness: 18 yr check up yearly
Preexisting Conditions: ADHD; Mood disorder
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Increasing pain at injection site beginning 4 hours after injection. Pt then developed swelling, nausea, diaphoresis, fever to 102 degrees F, and transient numbness at injection site.


Changed on 9/14/2018

VAERS ID: 630349 Before After
VAERS Form:1
Age:18.0
Sex:Female
Location:Pennsylvania
Vaccinated:2016-03-31
Onset:2016-03-31
Submitted:2016-04-01
Entered:2016-04-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS 149001 / 1 LA / IM

Administered by: Private      Purchased by: Public
Symptoms: Hyperhidrosis, Injection site pain, Nausea, Pyrexia, Swelling, Injection site hypoaesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: FLOVENT; Fluoxetine; Hydroxyzine; Hydrocodone/APAP
Current Illness: 18 yr check up yearly
Preexisting Conditions: ADHD; Mood disorder
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Increasing pain at injection site beginning 4 hours after injection. Pt then developed swelling, nausea, diaphoresis, fever to 102 degrees F, and transient numbness at injection site.


Changed on 10/14/2018

VAERS ID: 630349 Before After
VAERS Form:1
Age:18.0
Sex:Female
Location:Pennsylvania
Vaccinated:2016-03-31
Onset:2016-03-31
Submitted:2016-04-01
Entered:2016-04-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS 149001 / 1 LA / IM

Administered by: Private      Purchased by: Public
Symptoms: Hyperhidrosis, Injection site pain, Nausea, Pyrexia, Swelling, Injection site hypoaesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: FLOVENT; Fluoxetine; Hydroxyzine; Hydrocodone/APAP
Current Illness: 18 yr check up yearly
Preexisting Conditions: ADHD; Mood disorder
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Increasing pain at injection site beginning 4 hours after injection. Pt then developed swelling, nausea, diaphoresis, fever to 102 degrees F, and transient numbness at injection site.


Changed on 12/24/2020

VAERS ID: 630349 Before After
VAERS Form:1
Age:18.0
Sex:Female
Location:Pennsylvania
Vaccinated:2016-03-31
Onset:2016-03-31
Submitted:2016-04-01
Entered:2016-04-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS 149001 / 1 LA / IM

Administered by: Private      Purchased by: Public
Symptoms: Hyperhidrosis, Injection site pain, Nausea, Pyrexia, Swelling, Injection site hypoaesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: FLOVENT; Fluoxetine; Hydroxyzine; Hydrocodone/APAP
Current Illness: 18 yr check up yearly
Preexisting Conditions: ADHD; Mood disorder
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Increasing pain at injection site beginning 4 hours after injection. Pt then developed swelling, nausea, diaphoresis, fever to 102 degrees F, and transient numbness at injection site.


Changed on 12/30/2020

VAERS ID: 630349 Before After
VAERS Form:1
Age:18.0
Sex:Female
Location:Pennsylvania
Vaccinated:2016-03-31
Onset:2016-03-31
Submitted:2016-04-01
Entered:2016-04-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS 149001 / 1 LA / IM

Administered by: Private      Purchased by: Public
Symptoms: Hyperhidrosis, Injection site pain, Nausea, Pyrexia, Swelling, Injection site hypoaesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: FLOVENT; Fluoxetine; Hydroxyzine; Hydrocodone/APAP
Current Illness: 18 yr check up yearly
Preexisting Conditions: ADHD; Mood disorder
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Increasing pain at injection site beginning 4 hours after injection. Pt then developed swelling, nausea, diaphoresis, fever to 102 degrees F, and transient numbness at injection site.


Changed on 5/7/2021

VAERS ID: 630349 Before After
VAERS Form:1
Age:18.0
Sex:Female
Location:Pennsylvania
Vaccinated:2016-03-31
Onset:2016-03-31
Submitted:2016-04-01
Entered:2016-04-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS 149001 / 1 LA / IM

Administered by: Private      Purchased by: Public
Symptoms: Hyperhidrosis, Injection site pain, Nausea, Pyrexia, Swelling, Injection site hypoaesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: FLOVENT; Fluoxetine; Hydroxyzine; Hydrocodone/APAP
Current Illness: 18 yr check up yearly
Preexisting Conditions: ADHD; Mood disorder
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Increasing pain at injection site beginning 4 hours after injection. Pt then developed swelling, nausea, diaphoresis, fever to 102 degrees F, and transient numbness at injection site.


Changed on 5/21/2021

VAERS ID: 630349 Before After
VAERS Form:1
Age:18.0
Sex:Female
Location:Pennsylvania
Vaccinated:2016-03-31
Onset:2016-03-31
Submitted:2016-04-01
Entered:2016-04-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS 149001 / 1 LA / IM

Administered by: Private      Purchased by: Public
Symptoms: Hyperhidrosis, Injection site pain, Nausea, Pyrexia, Swelling, Injection site hypoaesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: FLOVENT; Fluoxetine; Hydroxyzine; Hydrocodone/APAP
Current Illness: 18 yr check up yearly
Preexisting Conditions: ADHD; Mood disorder
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Increasing pain at injection site beginning 4 hours after injection. Pt then developed swelling, nausea, diaphoresis, fever to 102 degrees F, and transient numbness at injection site.

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=630349&WAYBACKHISTORY=ON


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